New Guest Consultation Form

Hair Consultation Form
Update your style profile with us!

If you are a NEW GUEST please fill out the following style profile so we can better prepare for your visit. If you are a RETURNING GUEST and would like to update your profile or want a change today we would love to learn more about your thoughts! Use this section below to help get us started.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of Birth
Address*

Street Address

Street Address Line 2

CityState

Zip Code
How did you hear about Salon MACKK & Co?*

Website / Online SearchGoogleFacebook/InstagramReferralOther
If Referral, please list name
If Other, please let us know
Who is your preferred Service Provider for upcoming reservation? If no preference put Anyone*
Choose as many as desired
What service(s) are you looking to schedule? (Select all that apply)*

Haircut and StyleConditioning TreatmentMalibu/Detox TreatmentHand-tied ExtensionsKeratin smoothing TreatmentShine TreatmentUp-Do/Special Occasion StyleOther
What Chemical Services are you looking to schedule? (Select all that apply) *skip to next question if none*

Perm serviceGrey Coverage Re-growth onlyGrey Coverage and Refresh through endsAll over darker ColorAll over lighter ColorLighten and ToneHighlightsLowlightsBabylightsBalayageVivid overlay One colorVivid overlay MulticolorColor CorrectionOther
What time of day are you available for scheduling?*

Mornings (8:30am-2:30pm)Afternoons (2:30pm-5:00pm)Evenings (5:00pm or later)SaturdaysAnytime, no preferenceOther
What do you like BEST about your hair currently?*
What do you like LEAST about your hair currently?*
What type of salon experience would you prefer?

No talking through appointmentMinimum talking, quiet at shampoo bowlI love to chat. Keep me entertained!Other
When you walk into a room do you like to…

Turn HeadsBe a little more soft and subtleBoth!Other
Your Hair Profile
What are your hair care challenges?*

No VolumeToo thickDrynessBreakageFrizzinessWon't stay curledDullCurly hair & don't know what to do with it!Other
What are you trying to achieve with your style?*

VolumeCurlStraightOther
Average visits to a salon:*

every 6 weeksEvery 6-12 weeksEvery 3-6 monthsOnce a yearOther
What are your morning hair rituals?
What at home haircare are you currently using?
*Be specific
How much styling time is spent at home most days?*

Less than 15 min.15-30 min.30-45 min.More than 45 min.Other
What is your at home styling skill level?*

I feel very confident in how to style my hairI feel I am pretty goodI could use a little help but I am ok at it I guessI want some tipsOther
What kind of styling tools are you using at home during your hair routine?*

Flat IronCurling IronBlow-dryerNone reallyOther
Hair Versatility*

Wear my hair the same everydaySometimes wear my hair differently on weekendsOpen to new styles & change oftenI do a new look oftenOther
Water Quality *

CityWellWhole house filterShowerhead filterWater softenerOther
Where do you purchase your Home Hair Care?*

SalonUlta/Sally'sAmazon/onlineTarget/WalmartDrugstoreOther
Have you ever had a hair conditioning treatment service before?

YesNo
What do you wish your hair did more of?
Do you have any additional hair goals? You know the things you have been wanting for your hair to do or have more of? List them below if not already mentioned above. *
What is your expected price range for this appointment?*
Your Hair History
Are you currently taking any prescriptions, vitamins, or hormones? If yes please list the items that may effect your service today.

NoYesOther
Have you ever experienced hair loss or scalp problems?

NoYesOther
Do you presently have any breakage, thinning or bald spots?*

NoYesNot sureOther
Chemical Service History

~In order to ensure your hair goals and expectations are exceeded and your stylist has all the necessary information, please answer the following questions . Be as honest and specific as possible, we just want to make sure your service will have the best results- no judging here!
When was your last chemical service?*

NeverLess than 90 days ago3-6 months ago6-12 months agoOther
What type of product was used?*

Salon professionalAt home with Store BoughtOrdered OnlineSally’sOther
Used box color (at home color remedy)?*

NeverLess than 90 days ago3-6 months ago6-12 months agoOther
Have you ever received a chemical straighter or relaxer service or treatment?*

Yes, within the last monthYes, within the last 6-12 monthsNoOther
Used Overtone colored Shampoo and/or Conditioner?*

Yes, within the last monthYes, within the last 6-12 monthsNoOther
Used Henna-based haircolor?*

Yes, within the last monthYes, within the last 6-12 monthsNoOther
Check any and all services received in last 5 years:*

ColorBleachHighlights/balayageVivid colorStore bought rinse or colorPermRelaxerKeratin treatmentHennaOther
Please give a brief history of the services received:
Please feel free to go into more detail about any questions you may have for your stylist.
Please add pictures of your current hair, close up and in good lighting so your stylist can accurately schedule your appointment timing and services needed. *
Upload your inspiration pictures of desired hair results: *
What about this picture do you like?*
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the hair service being received.*

Yes
When color service is requested- I understand a $75 non-refundable deposit will be required prior to reserving my stylists time

Yes, I understand
We look forward to seeing you! If you are unable to keep your scheduled appointment, we require a 48-hour advance notice. An additional 24-hour grace period may be granted under extenuating circumstances. We have implemented this cancellation policy out of respect for your Service Provider’s time, in the interest of protecting our Team’s income potential, and to uphold a level of professionalism in our day-to-day operations. If unable to give 48 hours notice of change or cancellation the $75 reservation deposit will be forfeited*

Yes, I will give you 48 hours in notice if for some unforeseen reason I need to reschedule.
Signature*

Clear
Thank you!
Please verify that you are human*
Should be Empty:

Hair Consultation Form

Update your style profile with us!

Your Hair Profile

Your Hair History

Chemical Service History

Thank you!